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. 2022 Jul 12:2022:6495568.
doi: 10.1155/2022/6495568. eCollection 2022.

Diagnostic Value of Image Features of Magnetic Resonance Imaging in Intracranial Hemorrhage and Cerebral Infarction

Wencai Tang  1 , Fangyi Zeng  2 , Guangtang Zhao  1
Affiliations

Diagnostic Value of Image Features of Magnetic Resonance Imaging in Intracranial Hemorrhage and Cerebral Infarction

Wencai Tang et al. Contrast Media Mol Imaging. .

Abstract

This study aimed to investigate the differential diagnosis value of routine magnetic resonance imaging (MRI) and magnetic resonance diffusion-weighted imaging (DWI) in hyperacute intracranial hemorrhage (HICH) and hyperacute cerebral infarction (HCI). Fifty-five patients with HICH were set as group A, and 55 patients with HCI were selected as group B. All the patients underwent routine MRI and DWI examinations. The morphological distribution and signal characteristics (low, high, or mixed) of the lesions in the two groups were recorded. The diagnostic accuracy, sensitivity, and specificity of routine MRI and DWI were compared for distinguishing HICH and HCI. The results suggested that the lesions in patients with HICH were mainly manifested as mixed signals (40 cases), while those in patients with HCI showed high signals (48 cases). HICH occurred in the basal ganglia in 44 cases, in the brain stem in 6 cases, in the cerebellum in 4 cases, in the cerebral cortex in 0 cases, and in the corpus callosum in 1 case. HCI occurred in the basal ganglia area, brain stem, cerebellum, cerebral cortex, and corpus callosum in 5, 3, 35, 12, and 0 cases, respectively. The diagnostic accuracy, specificity, and sensitivity of DWI for HICH and HCI were significantly higher than those of routine MRI (P < 0.05). It was indicated that compared with routine MRI, DWI was more effective in the diagnosis of HICH and HCI, with clearer and more accurate images and better diagnostic performance.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Comparison of the general data of patients in the two groups. (a) The comparison of gender; (b) age, height, and weight comparison; (c) proportion of high blood pressure, diabetes, and smoking history comparison.
Figure 2
Figure 2
Imaging data of a patient with HICH. (a–e): T1WI, T2WI, pressurized-water T2WI, DWI, and FLAIR, respectively.
Figure 3
Figure 3
Imaging data of a patient with HCI. (a–e): T1WI, T2WI, pressurized-water T2WI, DWI, and FLAIR, respectively.
Figure 4
Figure 4
Comparison of the signals of the lesions in the two groups of patients. (a–c) showed the comparison of low signal, high signal, and mixed signal, respectively. ∗Compared with the corresponding signal under DWI, P < 0.05; #compared with that in group B P < 0.05.
Figure 5
Figure 5
Comparison of ADC values between the two groups of patients. 1 stood for 0.4–0.8 × 10−3 mm2, and 2 meant 0.8–1.2 × 10−3 mm2. ∗Compared with the data of group A P < 0.05.
Figure 6
Figure 6
Comparison of the diagnostic accuracy, sensitivity, and specificity of the two groups by routine MRI and DWI. (a) Comparison of the accuracy; (b) the sensitivity; (c) the specificity. ∗Compared with the data under DWI, P < 0.05.
Figure 7
Figure 7
Comparison of lesion locations in the DWI examination between two groups. 1–5 represented the basal ganglia, brainstem, cerebellum, cerebral cortex, and corpus callosum, respectively.
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References

    1. Kimura H. Stroke. Brain and Nerve . 2020;72(4):311–321. doi: 10.11477/mf.1416201530. - DOI - PubMed
    1. El-Koussy M., Schroth G., Brekenfeld C., Arnold M. Imaging of acute ischemic stroke. European Neurology . 2014;72(5-6):309–316. doi: 10.1159/000362719. - DOI - PubMed
    1. Knight-Greenfield A., Nario N., Gupta A. Causes of acute stroke. Radiologic Clinics of North America . 2019;57(6):1093–1108. doi: 10.1016/j.rcl.2019.07.007. - DOI - PMC - PubMed
    1. de Mendivil A. O., Alcalá-Galiano A., Ochoa M., Salvador E., Millán J. M. Brainstem stroke: anatomy, clinical and radiological findings. Seminars in Ultrasound, CT and MRI . 2013;34(2):131–141. doi: 10.1053/j.sult.2013.01.004. - DOI - PubMed
    1. Bersano A., Kraemer M., Burlina A., et al. Heritable and non-heritable uncommon causes of stroke. Journal of Neurology . 2021;268(8):2780–2807. doi: 10.1007/s00415-020-09836-x. - DOI - PubMed

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